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000299578 037__ $$aDKFZ-2025-00519
000299578 041__ $$aGerman
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000299578 1001_ $$aWagner, Anna S$$b0
000299578 245__ $$aCancer-related fatigue: How (good) is the quality of care at cancer care facilities in Germany? [Fatigue bei Krebs: Wie (gut) sind Betroffene an onkologischen Einrichtungen in Deutschland versorgt?]
000299578 260__ $$aMünchen [u.a.]$$bElsevier, Urban & Fischer$$c2025
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000299578 520__ $$aOne of the most common sequelae of cancer and/or its treatment is cancer-related fatigue (CRF). For those affected, CRF is often accompanied by considerable, even long-term impairment. This makes it all the more important to examine how care is provided in Germany and to what extent guideline recommendations are implemented in clinical practice.In a Germany-wide questionnaire survey, inpatient and outpatient oncological cancer care facilities were asked to describe their approach to CRF (information and education, screening, diagnostics), local treatment options, and clinical trials.A total of 145 facilities participated, including 11 comprehensive cancer centers, 35 organ-specific cancer centers, 22 hospitals with a (hemato-)oncology unit, 29 outpatient (hemato-)oncology practices, 48 outpatient cancer counseling units. Nearly all the facilities reported that patients are provided verbal health information (per groups: 90.9%, 88.6%, 90.9%, 96.9%, 72.9%); less frequently in written form (90.9%, 54.3%, 59.1%, 48.3%, 87.5%). A systematic screening for CRF is conducted in up to one-third of the facilities (per groups: 27.3%, 20.0%, 31.8%, 17.2%, 8.3%). A standardized procedure for further clarification of CRF is available at a small number of institutions (0%, 11.4%, 13.6%, 6.9%, 2.1%). Exercise (90.9%, 82.9%, 72.7%, 79.3%, 89.6%) and psychotherapeutic services (90.9%, 68.6%, 86.4%, 62.1%, 68.8%) are most frequently actively recommended to patients with CRF across the facility groups.With regard to the systematization of screening and diagnosis of CRF as well as the provision of information material, there is a clear discrepancy between guideline recommendations and everyday clinical practice.
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000299578 650_7 $$2Other$$aBedarfsanalyse
000299578 650_7 $$2Other$$aBefragung
000299578 650_7 $$2Other$$aCancer care
000299578 650_7 $$2Other$$aCancer-related fatigue
000299578 650_7 $$2Other$$aKrebsassoziierte Fatigue
000299578 650_7 $$2Other$$aKrebsversorgung
000299578 650_7 $$2Other$$aNeeds assessment
000299578 650_7 $$2Other$$aSupportive Therapie
000299578 650_7 $$2Other$$aSupportive care
000299578 650_7 $$2Other$$aSurvey
000299578 7001_ $$aMilzer, Marlena$$b1
000299578 7001_ $$aKiermeier, Senta$$b2
000299578 7001_ $$0P:(DE-He78)2def8f8594c8f797f5ed4398258c6cac$$aSchmidt, Martina E$$b3$$udkfz
000299578 7001_ $$0P:(DE-He78)ed72386011d32b57800b051dd58da058$$aNguyen, Truong D$$b4$$udkfz
000299578 7001_ $$0P:(DE-He78)a0c2037d9054be26907a05ae520d5756$$aSteindorf, Karen$$b5$$udkfz
000299578 7001_ $$aMaatouk, Imad$$b6
000299578 773__ $$0PERI:(DE-600)2413601-3$$a10.1016/j.zefq.2025.02.003$$gp. S1865921725000509$$p40-47$$tZeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen$$v194$$x1865-9217$$y2025
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